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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Healthcare Compliance, OIG, healthcare, HCCAci

HCCA 21st Annual Compliance Institute Debrief

Posted by Michael Rosen, ESQ on Thu, Mar 30, 2017

There is nothing like D.C. in the spring. The Healthcare Compliance Association (HCCA) held its annual Compliance Institute in DC for 2017 and almost 3,000 of the nation’s compliance officers/managers gathered at the Gaylord National Harbor for three days. As has been the case for years, the conference was spectacular.

It is refreshing to be around so many people who share the same goal - compliance and quality care.

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healthcare, compliance, vendors

Correcting Your Vendor Compliance and Data in Time for the New Year!

Posted by Russ Cornwall on Thu, Dec 22, 2016


Vendor Database

While exclusion monitoring certainly is not the primary purpose for your organization’s vendor database, the accuracy and completeness of the data is crucial for effective vendor compliance. Without complete and accurate vendor information, it is near impossible to be in compliance with the OIG’s guidance. At a minimum, we recommend that your vendor database contains ALL of the following data points for your vendors:

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OIG Exclusion List, OIG, healthcare, compliance, exclusion monitoring, OIG Exclusion

Has Your Company Been Naughty or Nice? Check Your Exclusion List Twice!

Posted by Michael Rosen, ESQ on Thu, Dec 15, 2016

On the 12 Day of Healthcare . . .

Earlier this month your peers joined us for a popular workshop, "12 Days of Effective Compliance" covering key tactics to bring into the new year. We partnered with our newest hire, Chief Compliance Officer Donna Thiel, to come up with a simple, digestible end-of-the-year checklist for your compliance program. There was such a great response to the information, we decided to put together a quick summary for you to skim (and hopefully apply!). 

Hopefully it brings you good tidings of great joy!

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Healthcare Compliance, OIG, Healthcare Technology, Penalties and Fines, healthcare, compliance, OIG Exclusion

Did You Know? Skilled Nursing Facilities Subject to New Compliance Fines

Posted by Michael Rosen, ESQ on Tue, Dec 13, 2016

Effective Sept 6, 2016, fines more than doubled.

Skilled Nursing Facilities

Congress raised the maximum penalty for noncompliance resulting in an immediate jeopardy outcome over 100%.  The sanctions went from a per day minimum penalty of $3,050 to $6,291 and the maximum from $10,000 to $20,628.  That is more than a 100% increase in this penalty.  In addition, the minimum per instance sanctions went from $1,000 to $2,063 and the maximum per instance went from $10,000 to $20,628.  

Did you know that there are fines if an individual notifies the skilled nursing facility of an impending survey prior to its occurrence?  Or that a nursing facility could be penalized over $217,000 for employee retaliation if an employee calls the state?

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healthcare, compliance, audit, internal audit, healthcare audit

You've Finished Your Internal Audit. Now, What?

Posted by Donna Thiel on Tue, Nov 29, 2016

Now, What?

So now you've finished your internal audit and have all sorts of new information. Likely some great outcomes and perhaps some that you weren’t expecting. What should you do next? There isn’t one absolute answer but all audit findings have to be looked at and evaluated for appropriate next steps. Some outcomes are more serious than others and will cause a more immediate response, while others may require nothing more than some re-education and follow up next year. Let’s break down some of the possible audit outcomes and next steps so you don't feel like these fish.

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